| Organization Name: | LAWRENCE M ITSKOWITCH DDS,PC |
| NPI Number: | 1437379799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE M ITSKOWITCH (PRESIDENT) |
| Mailing Address: | 501 Main St A Roosevelt Island |
| State: | NY US |
| Postal Code: | 10044 |
| Phone Number: | 2127528722 |
| Fax Number: | 2127595507 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 27566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |